中国现代医生Issue(12)：61-63,3.
小儿急性肠套叠灌肠复位术后早期复发处理
Management of early relapse of pediatric acute intussusception after ene-ma reduction
赖志鸿 1郑燕君 1周凡 2郑文龙 2蔡洪彬 2刘志军2
作者信息
- 1. 汕头大学医学院第一附属医院小儿外科，广东汕头 515144
- 2. 广东汕头潮南民生医院小儿外科，广东汕头 515144
- 折叠
摘要
Abstract
Objective To explore the reasons and management of early relapse of pediatric acute intussusception after enema reduction. Methods Clinical data of 48 patients with early relapse of pediatric acute intussusception after enema reduction were retrospectively collected and analyzed, especially for X-ray data during enema. Relevant management methods were proposed. Results In the comparison of gender, age, admission time and enema pressure between the early relapse group and non-relapse group of children patients, without statistically significant differences(χ² all <3.84,P>0.05). However, as for①whether X-ray sign of intestinal obstruction could be seen during diagnosis,②whether intus-suscepted parts could be clearly seen after reduction, ③whether intussuscepted parts became larger after pressure re-lief, and ④inflation of small intestine after reduction compared between the two groups, with statistically significant differences (χ² all>3.84,P<0.05). Patients in the relapse group were all given a secondary enema reduction. Conclu-sion During early stage after reduction of intussusception by air enema, possibilities of relapse or multiple relapses should still be noticed. Observations of multiple repeated changes of body position during enema and special attention to changes of intussuscepted parts are one of critical factors for reducing relapses and ensuring a success for secondary enema. A secondary air enema can be carried out when mastering the indications.关键词
小儿/急性肠套叠/空气灌肠/复发处理Key words
Pediatric/Acute intussusception/Air enema/Relapse management分类
医药卫生引用本文复制引用
赖志鸿,郑燕君,周凡,郑文龙,蔡洪彬,刘志军..小儿急性肠套叠灌肠复位术后早期复发处理[J].中国现代医生,2015,(12):61-63,3.
